Hospital Inpatient Services Modernization Act

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Bill ID: 119/hr/4313
Last Updated: February 5, 2026

Sponsored by

Rep. Buchanan, Vern [R-FL-16]

ID: B001260

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Received in the Senate and Read twice and referred to the Committee on Finance.

December 2, 2025

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

Next: Both chambers must agree on the same version of the bill.

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another exercise in legislative theater, courtesy of the esteemed members of Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The Hospital Inpatient Services Modernization Act (HR 4313) claims to "modernize" hospital care by extending waiver flexibilities for acute hospital care at home and requiring an additional study on these flexibilities. How quaint. The real purpose is to perpetuate the status quo, lining the pockets of healthcare lobbyists and special interest groups.

**Key Provisions & Changes to Existing Law:** The bill extends the waiver flexibilities until September 30, 2030, allowing hospitals to continue providing care at home without adhering to traditional inpatient settings. It also requires a new study on these flexibilities, because, of course, we need more bureaucratic red tape and "research" to justify the existing system.

**Affected Parties & Stakeholders:** Hospitals, healthcare providers, insurance companies, and patients (or rather, their wallets) will be affected by this bill. But let's not forget the real stakeholders: the lobbyists, special interest groups, and politicians who will reap the benefits of this "modernization" effort.

**Potential Impact & Implications:** This bill is a Band-Aid on a bullet wound. It does nothing to address the systemic issues plaguing our healthcare system, such as rising costs, inadequate access, and inefficient care delivery. Instead, it perpetuates the existing power dynamics, ensuring that hospitals and insurance companies maintain their grip on the system.

The "study" provision is a joke, designed to create more bureaucratic hurdles and justify further inaction. It's a classic case of "analysis paralysis," where politicians can claim they're taking action while doing nothing meaningful.

In conclusion, HR 4313 is a masterclass in legislative obfuscation, designed to confuse, mislead, and maintain the status quo. It's a testament to the boundless creativity of politicians in crafting legislation that sounds good but accomplishes little. Bravo, Congress. You've done it again.

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💰 Campaign Finance Network

Rep. Buchanan, Vern [R-FL-16]

Congress 119 • 2024 Election Cycle

Total Contributions
$66,000
15 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$66,000

No PAC contributions found

No organization contributions found

No committee contributions found

1
GARCIA, MARIO
2 transactions
$6,600
2
GARCIA, IVIS
2 transactions
$6,600
3
COPELAND, GERRET
2 transactions
$6,600
4
ARISON, MICKY
2 transactions
$6,600
5
ARISON, MADELEINE
2 transactions
$6,600
6
RICHARDS, CHRISTINE
1 transaction
$3,300
7
RICHARDS, DANIEL
1 transaction
$3,300
8
BENJAMIN, STEPHEN
1 transaction
$3,300
9
JOHNSON, TRAVIS
1 transaction
$3,300
10
COPELAND, KYM
1 transaction
$3,300
11
MURRAY, R. CHARLES
1 transaction
$3,300
12
MCGILLICUDDY, DENNIS
1 transaction
$3,300
13
MCGILLICUDDY, GRACI
1 transaction
$3,300
14
ELLER, SCOTT
1 transaction
$3,300
15
RYAN, JOSEPH H
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 8 cosponsors. Below are their top campaign contributors.

Rep. Smucker, Lloyd [R-PA-11]

ID: S001199

Top Contributors

10

1
MASRY, LOUIS
LEM SETTLEMENT GROUP CEO-PRESIDENT
Individual SOLANA BEACH, CA
$6,600
Jan 17, 2024
2
SCHWARZMAN, STEPHEN A.
BLACKSTONE CEO AND CHAIRMAN
Individual NEW YORK, NY
$6,600
Jul 13, 2023
3
SCHWARZMAN, CHRISTINE
NONE RETIRED
Individual NEW YORK, NY
$6,600
Jul 14, 2023
4
WALTERS, WILLIAM
SELECT MEDICAL SVP
Individual MCLEAN, VA
$5,000
Feb 5, 2024
5
REYNOLDS, GARY A.
RAYMOND JAMES FINANCIAL SERVICES FINANCIAL ADVISOR
Individual LANCASTER, PA
$4,597
Mar 27, 2024
6
PARKER, ALEXANDRA MRS.
SELF EMPLOYED PHILANTHROPY
Individual PALO ALTO, CA
$3,300
Mar 21, 2024
7
PARKER, ALEXANDRA MRS.
SELF EMPLOYED PHILANTHROPY
Individual PALO ALTO, CA
$3,300
Mar 21, 2024
8
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATION CHAIRMAN
Individual PALO ALTO, CA
$3,300
Mar 21, 2024
9
PARKER, SEAN MR.
SEAN N. PARKER FOUNDATION CHAIRMAN
Individual PALO ALTO, CA
$3,300
Mar 21, 2024
10
MASRY, LOUIS
LEM SETTLEMENT GROUP CEO-PRESIDENT
Individual SOLANA BEACH, CA
$3,300
Jan 17, 2024

Rep. Evans, Dwight [D-PA-3]

ID: E000296

Top Contributors

10

1
MARTHA ALDRIDGE
Organization BLUEFIELD, WV
$250
May 13, 2024
2
UNIVERSITY PLACE ASSOCIATES 3.0
Organization PHILADELPHIA, PA
$1,000
Dec 28, 2023
3
BRIDGE ACROSS PA PAC
Organization BETHLEHEM, PA
$1,000
Jun 5, 2023
4
DILWORTH PAXSON LLP
Organization PHILADELPHIA, PA
$1,000
May 19, 2023
5
KLEINBARD LLC
Organization PHILADELPHIA, PA
$500
Dec 28, 2023
6
FLYNN, KATHLEEN BELL
SELF EXECUTIVE
Individual RANCHO SANTA FE, CA
$3,300
Mar 12, 2024
7
FLYNN, STEVEN
BELL ENTERPRISES EXECUTIVE
Individual RANCHO SANTA FE, CA
$3,300
Mar 12, 2024
8
HANSSTON, KNUTE
RETIRED RETIRED
Individual MADERA, CA
$3,300
Feb 16, 2024
9
LYNCH, MARK S
RETIRED RETIRED
Individual WOODRUFF, SC
$3,300
Apr 22, 2024
10
LYNCH, SARAH
RETIRED RETIRED
Individual WOODRUFF, SC
$3,300
Apr 22, 2024

Rep. Tenney, Claudia [R-NY-24]

ID: T000478

Top Contributors

10

1
WINRED EARMARKS
PAC ARLINGTON, VA
$27,879
Oct 22, 2024
2
WINRED EARMARKS
PAC ARLINGTON, VA
$21,566
Oct 29, 2024
3
WINRED EARMARKS
PAC ARLINGTON, VA
$10,970
Nov 25, 2024
4
WINRED EARMARKS
PAC ARLINGTON, VA
$5,493
Nov 19, 2024
5
SAN MANUEL BAND OF MISSION INDIANS
Organization LOS ANGELES, CA
$2,000
Nov 5, 2024
6
MORONGO BAND OF MISSION INDIANS
Organization BANNING, CA
$2,000
Jun 18, 2024
7
SANTA YNEZ BAND OF MISSION INDIANS
Organization SANTA YNEZ, CA
$2,000
Jun 18, 2024
8
MORONGO BAND OF MISSION INDIANS
Organization BANNING, CA
$1,000
Mar 31, 2023
9
TEXTOR, DONALD
RETIRED RETIRED
Individual LOCUST VALLEY, NY
$13,200
Apr 17, 2024
10
WINE, SCOTT
POLARIS CEO
Individual EXCELSIOR, MN
$6,600
Sep 30, 2024

Rep. Carey, Mike [R-OH-15]

ID: C001126

Top Contributors

10

1
KITTLE, JEFFREY
KITTLE PROPERTY GROUP CEO
Individual INDIANAPOLIS, IN
$6,600
Oct 24, 2023
2
SCHWARZMAN, CHRISTINE
NONE RETIRED
Individual NEW YORK, NY
$6,600
Sep 28, 2023
3
SCHWARZMAN, STEPHEN
BLACKSTONE CEO AND CHAIRMAN
Individual NEW YORK, NY
$6,600
Sep 27, 2023
4
BAGAN, JOSEPH W.
STAQ PHARMA CEO
Individual COLUMBUS, OH
$4,000
Oct 14, 2024
5
BAGAN, JOSEPH W.
Individual COLUMBUS, OH
$4,000
Oct 16, 2024
6
BORKOWSKI, BRIAN
HEARTLAND CHARGING SERVICES COO
Individual BELLEAIR BEACH, FL
$3,435
Oct 15, 2024
7
FISCHER, ALEX
SELF EMPLOYED CONSULTING REAL ESTATE
Individual COLUMBUS, OH
$3,300
Oct 8, 2024
8
BARRERAS, LORI
STATE OF OHIO COMMISSIONER, OCRC
Individual COLUMBUS, OH
$3,300
Nov 8, 2024
9
LAIRD, JAMES F.
DIAMOND HILL EXECUTIVE
Individual DUBLIN, OH
$3,300
Nov 5, 2024
10
RICHARDSON, JOHN G.
SUGARCREEK CHAIRMAN
Individual CINCINNATI, OH
$3,300
Dec 16, 2024

Rep. Simpson, Michael K. [R-ID-2]

ID: S001148

Top Contributors

10

1
MAPETSI POLICY GROUP LLC
Organization WASHINGTON, DC
$1,000
Aug 14, 2023
2
LARA HERWAY
Organization BOISE, ID
$713
Nov 29, 2023
3
EASTERN BAND OF, CHEROKEE INDIANS
NATIVE AMERICAN NATION NATIVE AMERICAN NATION
Individual CHEROKEE, NC
$3,300
Nov 5, 2024
4
EASTERN BAND OF, CHEROKEE INDIANS
NATIVE AMERICAN NATION NATIVE AMERICAN NATION
Individual CHEROKEE, NC
$3,300
Nov 22, 2024
5
NATION, CHEROKEE
NATIVE AMERICAN NATION NATIVE AMERICAN NATION
Individual TAHLEQUAH, OK
$3,300
Nov 5, 2024
6
VECCHIARELLI, DANIEL
LEPRINO FOODS VICE-CHAIRMAN
Individual DENVER, CO
$3,300
Oct 30, 2024
7
ARNOLD, JOHN
RETIRED RETIRED
Individual HOUSTON, TX
$3,300
Nov 28, 2023
8
ARNOLD, JOHN
RETIRED RETIRED
Individual HOUSTON, TX
$3,300
Nov 28, 2023
9
BLUE, J. NEAL
GENERAL ATOMICS AERONAUTICAL CEO
Individual LA JOLLA, CA
$3,300
Dec 29, 2023
10
CHIPPEWA INDIAN TRIBE, SAGINAW
NATIVE AMERICAN TRIBE NATIVE AMERICAN TRIBE
Individual MT PLEASANT, MI
$3,300
Oct 25, 2023

Rep. Smith, Adrian [R-NE-3]

ID: S001172

Top Contributors

10

1
OTOE MISSOURIA TRIBE OF OKLAHOMA
Organization RED ROCK, OK
$3,300
Jan 23, 2024
2
OTOE MISSOURIA TRIBE OF OKLAHOMA
Organization RED ROCK, OK
$3,300
Jan 23, 2024
3
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$2,000
Dec 28, 2023
4
MIAMI TRIBE OF OKLAHOMA
Organization MIAMI, OK
$2,000
Mar 18, 2024
5
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$2,000
Jul 31, 2024
6
MILLE LACS BAND OF OJIBWE INDIANS
Organization ONAMIA, MN
$1,300
Jun 27, 2023
7
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,300
Jun 27, 2023
8
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$1,300
Jul 31, 2024
9
MILLE LACS BAND OF OJIBWE INDIANS
Organization ONAMIA, MN
$1,200
Jun 27, 2023
10
FOND DU LAC BAND
Organization CLOQUET, MN
$1,000
Jun 27, 2023

Rep. Fischbach, Michelle [R-MN-7]

ID: F000470

Top Contributors

10

1
CHEROKEE NATION
Organization TAHLEQUAH, OK
$2,500
Dec 18, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,650
Nov 3, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,650
Jun 17, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,650
Jun 17, 2024
5
SANTA YNEZ BAND OF MISSION INDIANS
Organization SANTA YNEZ, CA
$1,500
Mar 19, 2024
6
MS BAND OF CHOCTAW INDIANS
Organization CHOCTAW, MS
$1,000
Nov 5, 2024
7
MORONGO BAND OF MISSION INDIANS
Organization BANNING, CA
$1,000
Mar 27, 2023
8
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
Organization SCOTTSDALE, AZ
$1,000
Mar 31, 2023
9
MORONGO BAND OF MISSION INDIANS
Organization BANNING, CA
$1,000
Feb 27, 2024
10
SANTA YNEZ BAND OF MISSION INDIANS
Organization SANTA YNEZ, CA
$1,000
Jun 28, 2023

Rep. Moore, Blake D. [R-UT-1]

ID: M001213

Top Contributors

10

1
CHEROKEE NATION
Organization TAHLEQUAH, OK
$2,800
Dec 31, 2024
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,000
Nov 8, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,000
Jul 22, 2024
4
JLS HOLDINGS LLC
Organization SALT LAKE CITY, UT
$9,900
Jul 13, 2023
5
THE CHICKASAW NATION
Organization ADA, OK
$3,300
May 16, 2024
6
HEMMCO LLC
Organization OREM, UT
$2,500
Sep 15, 2023
7
R & O CONSTRUCTION
Organization OGDEN, UT
$2,500
Sep 13, 2023
8
SISTERS MOVEMENT
Organization MCKINNEY, TX
$1,000
Sep 11, 2023
9
RAHMAN PROPERTIES
Organization SULPHUR SPRINGS, TX
$250
Feb 14, 2024
10
FOREST COUNTY POTAWATOMI COMMUNITY
Organization CRANDON, WI
$3,300
Dec 23, 2024

Donor Network - Rep. Buchanan, Vern [R-FL-16]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 33 nodes and 35 connections

Total contributions: $173,278

Top Donors - Rep. Buchanan, Vern [R-FL-16]

Showing top 15 donors by contribution amount

15 Individuals